Active NPI
Luis Renta Rosa, MD
- Cardiovascular Disease Physician
- Carolina, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 020717
- Practice address
- 3018 Ave Isla Verde
Carolina, PR 00979-4844 - Phone
- (787) 726-7438
- Fax
- (787) 726-7438
- NPI assigned
- Jul 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 020717 | PR | Primary |
Addresses
Primary practice location
3018 Ave Isla Verde
Carolina, PR 00979-4844
Mailing address
3018 Ave Isla Verde
Carolina, PR 00979-4844
Phone (787) 726-7438
Other practice location 1
10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582 ext. 13191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University Central del Caribe Escuela de Medicina, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3018 Ave Isla Verde
Carolina, PR 00979-4844
Phone (787) 726-7438
Hospital & facility affiliations
- Hospital Pavia Santurce
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020717 | PR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiohealth PSC | Cardiovascular Disease | Current | Accepting new patients |
| Cardio Health CSP | Cardiovascular Disease | Current | Accepting new patients |
Locations
3018 Ave Isla Verde
Carolina, PR 00979
Phone (787) 726-7438
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Carolina, PR
- NPI 1023008463
-
- Cardiovascular Disease Physician
- San Juan, PR
- NPI 1730179797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265744734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 AVE ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009794844",
"telephone_number": "787-726-7438",
"fax_number": "787-726-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 AVE ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009794844",
"telephone_number": "787-726-7438",
"fax_number": "787-726-7438"
}
],
"practiceLocations": [
{
"address_1": "10 Calle Casia",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009213200",
"country_code": "US",
"telephone_number": "787-641-7582 x13191",
"fax_number": "787-641-4561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENTA ROSA",
"first_name": "LUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "020717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.